The role of audiological diagnostics in children with cleft lip &amp; palate (CLP)

Luthra, S; Singh, Satbir; Nagarkar, Anu; Mahajan, Jai Kumar

doi:10.1016/j.ijporl.2009.06.014

Cited by 20 publications

(15 citation statements)

References 12 publications

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“…Up to 90% of infants born with CLP suffer from OME before their first birthday [3]; therefore, it is recommended that otologic tests be conducted as soon as possible after birth to ascertain whether fluid has collected in the middle ear [39,51]. The use of a pneumatic otoscope is the fastest and most direct method by which to inspect the eardrum for color and contour, and determining whether fluid has collected in the middle ear.…”

Section: Examination and Diagnosismentioning

confidence: 99%

Glue Ear in Children with Cleft Lip and Palate: An Update

Kuo¹

2018

CMT

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Cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and/or dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked and very few studies have explored this condition in depth. In this paper, the author reviews the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment. We also provide a flowchart to guide the management of OME in children with CLP.

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Section: Examination and Diagnosismentioning

confidence: 99%

Glue Ear in Children with Cleft Lip and Palate: An Update

Kuo¹

2018

CMT

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“…Luthra et al found that the air conduction thresholds ranged from minimal to mild conductive hearing loss in orofacial cleft children that resulted out of recurrent or continuous OME leading to atelectasis, ossicular fixation, and/or tympanosclerosis. 19 The risk of chronic ear infection was higher even in children with isolated cleft lip cases compared with unaffected controls in another study. 20 Researchers have previously shown that, whenever, they have undergone cleft palate repair surgery, as many as 90% of children with cleft palate suffer from OME or conductive hearing loss, while 50% suffer from recurrent otitis.…”

Section: Discussionmentioning

confidence: 90%

Ear Findings and Hearing analysis in cleft palate patients in Nepal

Thakur¹,

Yadav²,

Agrawal

et al. 2019

Asian J Med Sci

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Background: The orofacial cleft is the most common birth anomaly with a prevalence rate ranging from 1/1000 to 2.69/ 1000. The middle ear diseases are known to be associated with cleft palate, however, the prevalence and the magnitude of the condition is usually underestimated. Aims and Objectives: The purpose of this study was to find out the various exisiting ear abnormalities, to assess the middle ear function and hearing status in patients with cleft palate and confirm the existence of these manifestations and their significance. Materials and Methods: All the patients with cleft palate with or without cleft lip over a one-year duration from January to December 2018 at the teaching hospital were include after informed consent. The patients with only cleft lip were excluded. General ENT examination and Otoscopy was performed. Tympanometry and Pure tone Audiometry was done (in those above 5 years). The degree of hearing loss was categorized using the WHO guidelines. Results: Out of a total of 56 patients, there were 30(53.6%) male and 26(46.4%) female. The age range was from 2years to 31 years. The mean age was 12.8 years. Maximum number of patients were in the 10-20 years age group 29(51.8%) followed by 22 (39.3%) in the less than 10 years age group. 53 (47.3%) of 112 ears examined had dull tympanic membrane, followed by retraction of tympanic membrane in 42 (37.5%) ears. Other findings were central perforation in 5 (4.5%), bulging tympanic membrane in 2 (1.8%) and atticoantral disease in 1 (0.9%) ear. 8 (7.1%) ears had normal findings. There was one case with right ear atresia (0.9%). In Tympanometry findings, the maximum number of ears, 51 (48.1%) had type B curve, followed by 33 (31.2%) ears with type As curve. 16 (15%) of ears had type C curve. 6 (5.7%) ears had type A curve. B type curve was found more common in less than 10 years age group. A chi Square test was performed and the findings had statistically significant association. (P value: 0.03 for Right ear tympanometry ; P value: 0.043 for left ear tympanometry). In Pure tone audiometry findings of 105 ears, 72 (68.6%) ears had mild conductive hearing loss. 10 (9.5%) ears had moderate conductive hearing loss, while 1 (1%) ear had mixed hearing loss. 22 (20.9%) ears had normal hearing level. Conclusion: This study assessed the common ear problems prevalent in cleft patients, along with the hearing loss. Since, ear disease were quite common in these patients, these patients should be evaluated regularly by an otolaryngologist to detect, treat and prevent such problems in these patients so that long term morbidity could be avoided.

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“…Up to 90% of infants born with CLP suffer from OME before their first birthday [2]; therefore, it is recommended that otologic tests be conducted as soon as possible after birth to ascertain whether fluid has collected in the middle ear [21,32]. The use of a pneumatic otoscope is the fastest and most direct method used for the inspection of the eardrum for color and contour and determining whether fluid has collected in the middle ear.…”

Section: Examination and Diagnosismentioning

confidence: 99%

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

Kuo¹,

Shiao²

2017

Designing Strategies for Cleft Lip and Palate Care

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The condition of cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. These children must undergo a series of major invasive surgeries following birth, including cleft lip repair surgery, cleft palate repair surgery, bone grafting surgery, and dental implant surgery. Unfortunately, the clinical significance of otitis media with effusion (OME), a complication associated with CLP, is often overlooked, and very few studies have explored this condition in depth. This chapter reviews pathogenesis, clinical manifestations, consequences, examination, and diagnosis related to OME in children with CLP. Controversies surrounding the treatment of OME in CLP children are also discussed. We also provide a flowchart for management guidance in OME in children with CLP.

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The role of audiological diagnostics in children with cleft lip & palate (CLP)

Cited by 20 publications

References 12 publications

Glue Ear in Children with Cleft Lip and Palate: An Update

Glue Ear in Children with Cleft Lip and Palate: An Update

Ear Findings and Hearing analysis in cleft palate patients in Nepal

Tympanostomy Tube Placement for Otitis Media with Effusion in Children with Cleft Lip and Palate

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